June 2005 Subscription Information Volume 31, Number 6
Continuing Medical Education   CME Expiration: December 1, 2005

JCRS CME Quiz

Quiz must be completed individually and answers based on personal knowledge gained from reading the selected articles.

On the answer sheet, please write in the letter corresponding to the most correct answer. Return only the completed answer sheet, payment, and CME verification information to ASCRS. It is not necessary to return the printed quiz.

Questions developed by Yanina Kostina-O’Neil, MD, and David E. Silverstone, MD, Chairman, ASCRS Continuing Medical Education.

Temporal hinge laser in situ keratomileusis: Maximizing treatable stromal bed area
Kerry K. Assil, MD, Tyrone McCall, MD

1. According to the article, the mean keratometry and mean flap diameter in the superior hinge group were ______compared with those in the temporal hinge group.
a. higher
b. slightly lower
c. significantly lower
d. similar

2. Temporal hinge LASIK flap yields a _______ area of treatable corneal stromal bed compared with the area with a superior hinge flap.
a. smaller
b. slightly larger
c. significantly larger
d. similar

3. What was the mean treatable stromal bed area in the temporal hinge group?
a. 44.14 mm2
b. 52.24 mm2
c. 62.25 mm2
d. 79.28 mm2

Clinical outcomes of phakic refractive lens in myopic and hyperopic eyes: 1-year results
Annemari Koivula, MD, Anders Petrelius, MD, Charlotta Zetterstrom, MD, PhD

4. According to the article, postoperatively,
a. 20% of eyes lost l line of BCVA
b. 10% of eyes lost 2 lines of BCVA
c. 25% of eyes gained 1 line of BCVA
d. 35% of eyes had no change in BCVA

5. Laser flare values were highest ________ postoperatively.
a. 2 hours
b. 1 day
c. 2 days
d. 3 days

6. What was the median rotation of the lens between 1 day and 1 week postoperatively?

a. 2.5 degrees
b. 5 degrees
c. 10 degrees
d. 15 degrees

Paired opposite clear corneal incisions to correct preexisting astigmatism in cataract patients
Abid Qammar

7. What was the mean age of patients involved in the study?
a. 74.0 ± 5.2
b. 75.2 ± 6.32
c. 78.4 ± 6.38
d. 79.6 ± 5.38

8. What was the amount of topographic astigmatism to qualify for inclusion criteria in the study?
a. 1 D
b. 2 D
c. 3 D
d. 4 D

9. What was the mean astigmatic correction?
a. 2.3 ± 0.23 D
b. 1.23 ± 0.49 D
c. 1.58 ± 0.33 D
d. 1.73 ± 0.45 D

Comparison of dynamic digital pupillometry and static measurements of pupil size in determining scotopic pupil size before refractive surgery
Sanj S. Wickremasinghe, MRCOphth, Guy T. Smith, FRCOphth, Julian D. Stevens, MRCP, FRCOphth

10. The mean scotopic pupil diameter was ______ with VISX Wavescan measurements compared with the diameter with the Procyon pupillometer.
a. smaller
b. slightly larger
c. significantly larger
d. similar

11. How many patients were involved in the study?
a. 32
b. 35
c. 44
d. 52

12. What factor(s) can explain the difference in pupil diameter found with the VISX Wavescan compared with the Procyon digital pupillometer?
a. different illumination level used by each instrument
b. effects of accommodation
c. target fogging
d. all the above

Unexpected outcomes associated with laser in situ keratomileusis: Ptosis, anisocoria, and “curing” of exotropia
Barry N. Wasserman, MD, Brian Bigler, MD, Karen Nipper, MD

13. What was the unexplained outcome after LASIK in the Case 1 patient?
a. ptosis
b. anisocoria
c. strabismus
d. exotropia

14. How old was the Case 2 patient?
a. 29 years
b. 31 years
c. 36 years
d. 39 years

15. What type of strabismus did the Case 3 patient have preoperatively?
a. esotropia
b. exotropia
c. hypertropia
d. hypotropia